| NPI | 1043603459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00902400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 669305) |
| 163W00000X Registered Nurse (Licence: NJ 26NR19896800) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CT 007470) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NY F430992) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2022-01-22 |